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第 3 章 膳食指导和评估 PowerPoint PPT Presentation


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第 3 章 膳食指导和评估. 主讲人 李协荣 [email protected] 主要内容. 第 1 节 营养需要和食物种类确定 第 2 节 食谱编制 第 3 节 食谱营养评价和调整. 第一节 营养需要和食物种类确定. 单元一 确定成人的营养需要 单元二 食物类别识别 单元三 成年人食物选择和用量的计算. 第二节 食谱编制. 单元一 确定成人主食需要量 单元二 确定成人副食用量 单元三 成人一餐食谱编制 单元四 成人一日食谱编制. 第三节 食谱调整和评价. 单元一 食谱能量调整 单元二 能量价格调整

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第 3 章 膳食指导和评估

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3

[email protected]


  • 1

  • 2

  • 3





  • 1

  • 2

  • 3

  • 4

  • 5


1(heat energy or thermal energy)

2(nutriment)


(JouleJ)

KJMJ

calorie Cal

(kilocaloriesKcal

1 J =0.239cal

1 cal =4.184J


  • (protein)

    (fat)

    (carbohydrate)


  • 1g 167kJg 4 kcal/g

  • 1g 376kJ g 9 kcal/g

  • 1g167kJg 4 kcal/g


10.0 17.5MJ/d

9.214.2MJ/d




  • 1

  • 2

  • 3

  • 4


DRIs


DRIs(Dietary Reference Intakes)


  • RDAs

    RDAs198910RDAs


DRIs

  • RDAs

  • DRIs


DRIs

  • 1937

  • 1998chinese DRIs


. 1:


2RDA

,RDARDA2SD


3. (dietary reference intakes, DRIs DRIsRDA4(EAR)(RNI)(AI)(UL)


AIRNI?

  • AIRNIAIRNI:

  • 1RNIEARRNI 2AIEARRNI(AI)RNI AIRNIRNIAIRNI



  • , ,


  • DRI90%~ 110%


  • DRI90%80%

  • 55%~65%20%~30%10%~15%

  • 1/3


  • -3-6BE



1


(Dietary Reference IntakesDRIs)



  • (Balanced Diet)



  • :

  • 1

  • 2

  • 3

  • 4






:

?P137


:

*

*



(P143)

--



P121


P121




1

  • 1800Kcal


*

* 90%90%5%90%


  • 2,2145 Kcal


P122

P1403-10

P1253-123


  • 1.


  • RNI=EAR

  • =BMIPAL

    PAL

    1.55 1.78 2.10

    1.56 1.64 1.82


  • 75%25%

  • 40%60%

  • 25%75%


  • 1

  • 2002


  • kcal/kg


  • 2

  • 1

  • 2

  • 3

  • 4

  • kcal=kgkcal/kg*


  • 1=kcal55%-60%4kcal/g

  • 2=kcal20%~30%9kcal/g

  • 3=kcal12%~15%4kcal/g


  • 5

  • = 55%65%4

  • = 10%15%4

  • = 20%30%9

  • = + + = 100%


P142123

P145


  • 35%40%

  • 25%

  • =

  • =


  • IBW

  • P127()


  • p140

  • 32175cm80kg

  • 1

  • 2

  • 3

  • 4

  • 5

  • 6

  • 7

  • 8


P150


  • 2

  • =cm-- 105 = 70(kg)

  • ==801.75*1.75=26

  • 30kcal/kg

  • kcal=kgkcal/kg=70*30=2100kcal


P1265

CHO60%

PR 15%

FAT25%

100%


  • 3

  • =15%4=210015%4=79g

  • =25%9=210025%9=58g

  • =60%4=210015%4=315g


P14145



  • =100 g

  • 4

  • 20%80%

  • =31520%76.8%=82g=31580%74.3%=340g


  • 1A

  • 2

  • 32/31/3

  • 4


P14612346


  • 5

  • 3/460g250ml1/4

  • =79g

  • =827.7100+34010.4100= 42g

  • =79-42=37g

  • =37*75%=28g

  • =37*25%=9g

  • =28-60g-250ml20.2/100=63g

  • =912.2/100=74g


  • 400g-550g


  • =(2.4g/400g)(8g/100g)

  • =58-2.4-?-?=30g

  • 6g10g


  • 100 g

  • =g100 g100%



P1603-21


P150


P160


()1.780


1)=-105=65() 2)(80-65)65100%=23%()


3)*//65*30=1950/1950*15%/4=731950*25%/9=541950*60%/4=2924)1/52/52/51950*1/5=3901950*2/5=7801950*2/5=780


5)345.56)0.51() (//) 1520-25*3035 15-20303540 20-25354040-50 *20Kcal/Kg/Day


12345120015001800 2100 24003.54.05.06.0 7.0 0.5 0.5 0.50.5 0.5 ()1 11 ( 111

()2 2 23 3

()500g 500g 500g 500g 500g

()0.25 1.5 1.5 12 ()4 2 3 43 () 2 2 3 33



P133-136

P137-144

P145-156

P159-164



-



  • 1

  • 1

  • 2

  • 2


  • 100 g

  • =g100 g100


  • 1

  • 2

  • 3


  • 30%30%~40%30%-40%


  • 32175cm78kg,250ml1

  • 2

  • 3

  • 4

  • 5

  • 6

  • 7




  • 1BABBCE


  • 2

  • (1)756kJ(180kcal)4g38g



(2)


(3)


(4)188kj(45kcal)5g1.5g3g


(5)4-4-6188kJ(45kcal)5g


  • 3

  • (gd)


  • 200kcal


  • 4

  • 400g450g150g75g40g50g50glOOg25g8(40050)12425


  • 250g20g150g25g

  • 200g50g300g)25g200g

  • 200g

  • 150g2150g(25g)


  • 150g25g215g

  • 200g50g250g

  • 200g

  • lOOg25g250glOOg(20g)



2-

  • 1

  • 2

  • 3

  • 4



  • DRIsEARRNIAIUL

  • 55%-65%20%-30%10%-15%

  • 494

  • 30%40%30%

  • BMI=KG

    M2


  • (dietary reference intakes, DRIs)(recommended dietaryallowance,RDA)

  • DRIs2000


DRIs

  • (estimated average requirement, EAR)

  • (recommended nutrient intake, RNI)

  • (adequate intake, AI)

  • (tolerable upper intake level, UL)


  • (EAR)RNI=EAR+2SDEAR10%RNI=1.2EAR

  • (RNI)RDA(97%98%)

  • (AI)

  • (UL)


DRIs

  • 1EAR

  • RNI

  • EARRNI

  • 2UL

  • UL


DRIs

  • 1EAR

  • EAR

  • EAR

  • 2AI

  • AI

  • 3UL

  • UL


  • 4

  • 5RNI

  • 6

  • 7


  • RNIAI


  • 1

  • 2


1

  • 36



  • 36RNIs


  • .

  • 36104kJ(44kcal)60%361300~1700kcal. : 30%~35%, 14%~15%. 50%~60%.


  • 1kg160g364560g/50%6.5, 3009100,17, .


  • 30353%0.5%


  • )

  • 5060.


  • 800mgd2000mgd300mld600mld


  • WHO8450gd800gd1


  • 1mg12mgd30mgdC


  • 2330g12mgd


  • .

  • RNI500600gd1UL 2000gd


  • B

  • B1B23BB1 B2B2B2B1B20.7mgd


  • C

  • CCC2000360mgd4670mgd


  • 1.

  • (300600ml)


  • 30%1040%(3)30%810001500ml/d


  • 2.

  • 1)1:

  • 200~300(600) 1100~125,,150150~200.


  • 2).

  • :8~8.30 30%

  • :11.30~12.40%(3)

  • :18.030%(20)

  • 3).



  • 3350mg46450mg


  • AAAUL2 000ug

  • BB1B2

  • CCC360mg4670 mg


  • 2002

  • 51600 kcal



  • 1.

  • (300600ml)

  • 30%1040%(3)30%810001500ml/d


  • 2.

  • 1)1:

  • 200-300(600) 1100-125,,150150-200.

  • 2).

  • :8-8.30 30%

  • :11.30-12.40%(3)

  • :18.030%(20)

  • 3).


  • 36




  • 1

  • 51600kcal


  • 2

  • 555g14%30%35%30%

  • =30%9=16030%9=53g

  • =56%4=160015%4=224g


  • 3

  • 34330%40%

  • 1

  • =30%9=160030%=480kcal

  • =30%=5530%=16.5g

  • =30%=5330%=15.9g

  • =30%=22430%=16.5g


  • 2

  • =40%9=160040%=640kcal

  • =40%=5540%=22.0g

  • =40%=5340%=21.2g

  • =30%=22440%=89.6g


  • 3

  • =30%9=160030%=480kcal

  • =30%=5530%=16.5g

  • =30%=5330%=15.9g

  • =30%=22430%=16.5g


  • 4

  • 5

  • 6

  • 7

  • 8




2

  • 21120040

  • 225%35%30%5-10%

  • 312-14%30-35%50-60%


3


  • 1034


2008623-27


  • 163-54

  • 1

  • 1

  • 2

  • 3

  • 2

  • 3-51300-1600kcal/

  • 130016002=1450 kcal/


  • 14%30%56%

  • =145014%4=51g

  • =145030%9=48g

  • =145056%4=203g


  • 30%40%30%

  • 1

  • kcal=1450 kcal30%=435 kcal

  • g=51 g 30%=15.3 g

  • g=48 g 30%=14.4 g

  • g=203 g 30%=60.9 g


  • 2

  • kcal=580 kcalg=20.4 g

  • g=19.2 gg=81.2 g

  • 3


  • 1

  • 1450 kcal/55%15%30%

  • =1450 kcal55%4 kcal/g=200g

  • 80%20%


  • 200g 80%=160g

  • 200g 20%=40g

  • 10076.8 g10075.9 g

  • =16076.8/100=208 g

  • =4075.9/100=53 g


  • 2

  • =1450 kcal15%4 kcal/g=54g

  • 1007.7 g10011.2 g

  • 2087.7/100+5311.2/100=22 g

  • 5422=32g

  • 70%30%


  • 13270%=22.5 g

  • 100 g12.1 g3 g20.2 g17.3g

  • 55g6.6g

  • 200g0.6g

  • 30 g6.1g

  • =22.56.60.66.1= 9.2g

  • = 9.217.3/100= 53.2g


  • 23230%=9.5 g

  • 100 g8.2 g7.8 g

  • 50g4.1g

  • =9.54.1= 5.4g

  • = 5.47.8/100=69g


  • 3475~500g

  • 425g

  • 1616


  • 3230%40%


  • =440.21433.6=30.7%

  • =18.553.4=34.6%

  • =53.441433.6=14.9%

  • RNIs

  • 1

  • 230.7%39.9%29.4%


  • 5

43.6 g9.6 g


2

  • 612;

  • 13-18


  • ;



  • 55-6525-3015

  • 15

  • 25-30

  • 55-65


  • 11-181000 mg7-10800 mg

  • RNI7-1090ug11-13120ug14-18150ug


  • AAARNI7-3700ugRE14-18800ugRE700ugREUL2 000ugRE

  • B1B1

  • B2B2RNI71.0 mg1 11.2 mg14-181.5 mg1.2 mg

  • CC780 mg1190 mg14-18100 mg


  • :2002


1

3-6


  • AB2


  • DHA

  • 36


  • A



3

13-18



  • 20-30%

  • 200 mg






  • ;


2


  • 35012-152600Kcal15%30%40%


  • 2600Kcal40%15%30%55%

  • =260015%440%=39g

  • =260030%940%=35g

  • =260055%440%=143g

  • 70%30%


  • =14370%77.9/100=128g

  • =14330%73.6/100=58g

  • =1287.4/100+5811.2/100=16g

  • =3916=23g

  • 2/31/3

  • =232/3=16g=231/3=7g


  • 11 g=1117.1/100=65g

  • =6565/100=100g

  • 5 g=518.3/100=27g

  • =2786/100=31g

  • 7 g=78.1/100=86g

  • =8690/100=96g

  • 250 g

  • 100 g130 g

  • 150 g180 g



  • 2001502700kcal2300kcal

  • =100%=27002300100%=1.174

  • =+=200+1501.174=411/

  • =

  • 128g

  • =128g411=52.608 kg


  • 36%40%25%


  • 1

  • 2

  • 3


  • 1

  • 2

  • 3

  • 4

  • 5

  • 6


  • 1WRF%

  • =gg100%

  • 2

  • 1AR%

  • =100%

  • 2TR%

  • =g

  • g100%


  • 5


=307.31484.2=20.7%

=671.51484.2=45.2%

=505.41484.2=34.1%


  • 51600kcal20.7%45.2%34.1%30%30%


  • 555 g14

  • (g)=(kcal)(30~35)9(kcalg)=309=160030 %9=53

  • (g)=(kcal) (56%)4(kcalg)= 564=1 600564=224 g


  • 304030

  • =30=l 600 30=480kCal

  • =30%=5530%=16.5g

  • =30%=5330%=15.9g

  • =30%=22430%=67.2g


  • =40==60040=640 kcal

  • =40%=5540%=22.0g

  • =40%=5340%=21.2g

  • =30%=22440%=89.6g


  • =30=l 600 30=480kCal

  • =30%=5530%=16.5g

  • =30%=5330%=15.9g

  • =30%=22430%=67.2g



  • A

  • 55 g


  • 2313



  • 100 g6.2g100g3.7g100 g3.1g100 g()0.6g=21.2-1150.6100-426.2100-523.7100=16g

  • 3040%30


  • 100g

  • =g100g100


3

  • 1.

  • 2.

  • 3.




  • 1

  • B

  • AB

  • B

  • C

  • E


  • 2

  • (1)756kJ(180kcal)4g38g


  • (2)336kj(80kcal)5g15g



  • (3)378kj(90kcal)10g5g2g



  • (4)188kj(45kcal)5g1.5g3g



  • (5)4-4-6188kJ(45kcal)5g

  • :


  • 3

  • (gd)


(gd)



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